Intake Specialist

Responsible Duties

• Data entry
• Obtaining initial authorization
• Insurance verification
• Faxing
• Filing
• Monitoring department supplies
• Processing referrals
• Completing full data entry of referral
• Obtaining and verifying insurance information
• Requesting initial authorization for Home Health and Hospice admissions
• Conducting Medicare HETS review for hospice and homecare patients
• Medicaid EDS system query for patient eligibility and benefits
• Contacting commercial payers to verify benefits for homecare and hospice patients
• Assisting with authorization maintenance
• Ordering supplies
• Querying payer eligibility databases
• Obtaining initial authorizations and pre-determination with applicable insurance
• Aiding in insurance verification and authorization information
• Maintaining databases and pertinent information
• Communicating with referral sources
• Working on special projects as needed

Essential Duties

• Processes appropriate referrals to the agency per agency policy
• Coordinates all intake information in the management of referrals for service
• Affirms coordination of all required services to clients and families by agency staff and community resources
• Affirms determination of the correct pay source at time of referral
• Assists with non-clinical support including insurance verification, obtaining initial authorization, data entry, filing, answering phones, calling referral sources, and ordering supplies
• Provides branch with assistance regarding authorization maintenance
• Works on special projects as needed
• Communicates effectively and tactfully with multiple referral sources, maintaining a customer service focus with outside agencies as well as branch personnel and colleagues

Qualifications

• High school Diploma or equivalency
• Experience with computer data entry, word processing, and creation of reports
• Current drivers’ license and auto insurance

Key Competencies

• Demonstrates knowledge of basic data entry and desktop computing skills including but not limited to Windows, Outlook and Excel
• Demonstrates office skills including typing, filing, and managing telephone communications
• Demonstrates organizational, written, and verbal skills
• Works day shift / 40 hours per week